Individual
SAMER ABU AMMRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4302 13TH AVE S STE 10, FARGO, ND 58103-3395
(708) 580-9733
Mailing address
4302 13TH AVE S STE 10, FARGO, ND 58103-3395
(708) 580-9733
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.035698
IL
122300000X
Dentist
Primary
2516
ND
122300000X
Dentist
30.027548
OH
Other
Enumeration date
06/29/2024
Last updated
08/18/2025
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